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Summary
Pages 1-16

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From page 1...
... The decade ahead will demand a stronger, more diversified nursing workforce that is prepared to provide care; promote health and well-being among nurses, individuals, and communities; and address the systemic inequities that have fueled wide and persistent health disparities. The vision of the Committee on the Future of Nursing 2020–2030, which informs this report, is the achievement of health equity in the United States built on strengthened nursing capacity and expertise.
From page 2...
... • Nurses and other leaders in health care and public health create organizational structures and processes that facilitate the profession's expedited acquisition of relevant content expertise to serve flexibly in areas of greatest need in times of public health emergencies and disasters. • Nurses consistently incorporate a health equity lens learned through revamped academic and continuing education.
From page 3...
... If the nation is to achieve better population health, it will have to meet the challenge of mitigating these inequities. Herein lies the greatest contribution of the nursing workforce in the decade ahead.
From page 4...
... Accordingly, the Robert Wood Johnson Foundation asked the National Academies of Sciences, Engineering, and Medicine to conduct a study aimed at charting a path forward for the nursing profession to help create a culture of health and reduce disparities in people's ability to achieve their full health potential. To carry out this study, the National Academies convened an ad hoc committee of 15 experts in the fields of nursing leadership, education, practice, and workforce, as well as health policy, economics and health care finance, informatics, population health and health disparities, health care quality and delivery, and health care research and interventions.
From page 5...
... education, nurse well-being, and emergency preparedness and response, and the responsibilities of nursing with respect to structural and individual determinants of health. Nurses play multiple roles in acute, community, and public health settings that include, but are not limited to, care team member and leader, primary care provider, patient and family advocate, population health coordinator, educator, public health professional, health systems leader, organizational and public policy maker, researcher and scientist, and informaticist.
From page 6...
... These many challenges include the need to • increase the number of nurses available to meet the nation's growing health care needs; • rightsize the clinical specialty distribution of nurses; • increase the distribution of nurses to where they are needed most; • ensure a nursing workforce that is diverse and prepared with the knowl edge and skills to address SDOH; • overcome current and future barriers affecting workforce capacity; and • anticipate long-term impacts of the COVID-19 pandemic on the nursing workforce. Conclusion 3-1: A substantial increase in the numbers, types, and dis tribution of members of the nursing workforce and improvements in their knowledge and skills in addressing social determinants of health are essential to filling gaps in care related to sociodemographic and population factors.
From page 7...
... Nurses can provide care management that helps ensure seamless care, serve as advocates for patients and communities, and assist in increasing individuals' trust in and engagement with the health care system. Lifting Barriers to Expand the Contributions of Nursing Nurses can address SDOH and help improve health equity by providing care management and team-based care; expanding the capacity of primary care, including maternal and pediatric care, mental health care, and telehealth; and providing care in school, home, work, and public health settings.
From page 8...
... Conclusion 6-3: Payment mechanisms need to be designed to support the nursing workforce and nursing education in addressing social needs and social determinants of health in order to improve population health and advance health equity. New payment models, such as accountable care organizations (ACOs)
From page 9...
... Education in the community allows nursing students to learn about the broad range of care environments and to work collaboratively with other professionals who work in these environments, including those from nonhealth sectors. Conclusion 7-3: Learning experiences that develop nursing students' understanding of health equity, social determinants of health, and population health and prepare them to incorporate that understanding into their professional practice include opportunities to • learn cultural humility and recognize one's own implicit biases; • gain experience with interprofessional collaboration and mul tisector partnerships to enable them to address social needs comprehensively and drive structural improvements; • develop such technical competencies as use of telehealth, dig ital health tools, and data analytics; and • gain substantive experience with delivering care in diverse community settings, such as public health departments, schools, libraries, workplaces, and neighborhood clinics.
From page 10...
... They serve as both essential care providers for individuals and links to broader community health issues through the student populations they serve. School nurses are a particularly critical resource for students experiencing such challenges as food insecurity, homelessness, and living in impoverished circumstances, for whom the school nurse may be the only health care professional they see regularly.
From page 11...
... Preparing Nurses to Respond to Disasters The increasing frequency of natural and environmental disasters and public health emergencies, such as the COVID-19 pandemic, reveals in stark detail the critical importance of having a national nursing workforce prepared with the knowledge, skills, and abilities to respond to these events. COVID-19 has revealed deep chasms within an already fragmented U.S.
From page 12...
... Moreover, if nurses are to contribute to addressing the many social determinants that influence health, they must first feel healthy, well, and supported themselves. Policy makers, employers of nurses, nursing schools, nurse leaders, and nursing associations all have a role to play to this end.
From page 13...
... Recommendation 3: By 2021, nursing education programs, employers, nursing leaders, licensing boards, and nursing organizations should initiate the imple mentation of structures, systems, and evidence-based interventions to promote nurses' health and well-being, especially as they take on new roles to advance health equity. Recommendation 4: All organizations, including state and federal entities and employing organizations, should enable nurses to practice to the full extent of their education and training by removing barriers that prevent them from more fully addressing social needs and social determinants of health and improving health care access, quality, and value.
From page 14...
... b The Council of Public Health Nursing Organizations includes the following organizations as members: the Alliance of Nurses for Healthy Environments, the Ameri can Nurses Association, the American Public Health Association -- Public Health Nursing Section, the Association of Community Health Nursing Educators, the Association of Public Health Nurses, and the Rural Nurse Organization. c The Federal Nursing Service Council is a united federal nursing leadership team rep resenting the U.S.
From page 15...
... The nursing profession is resilient and well positioned to help usher in a new era in which everyone has a chance to live the healthiest possible life.


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